Rheumatoid arthritis

Spatial mapping of rheumatoid arthritis synovial niches reveals a LYVE1+ macrophage network associated with response to therapy

Ann Rheum DisPublished Mechanistic study

Authors' conclusion

We identify the LYVE1+ macrophage network as a pivotal component of synovial homeostasis and its restoration as a hallmark of clinical remission.

Study context

Population
Synovial tissues from healthy controls, patients with OA and patients with early rheumatoid arthritis (RA) treated with conventional synthetic disease-modifying antirheumatic drugs (csDMARDs)
Comparison
Synovial tissue before vs after 6 months of csDMARD therapy in early RA, with healthy controls and OA
Methodological detailslongitudinal, high-dimensional imaging mass cytometry, validation with whole-tissue RNA-sequencing and immunofluorescence, in vitro functional coculture assays
  • Longitudinal
  • High-dimensional imaging mass cytometry
  • Validation with whole-tissue RNA-sequencing and immunofluorescence
  • In vitro functional coculture assays

Main finding

As reported in the abstract

6 months
  • LYVE1+CD206+ tissue-resident macrophage network localised within perivascular niches alongside fibroblasts and vascular cells
  • Network disrupted in active RA but restored in patients responding well to csDMARDs
  • Restoration correlated with re-establishment of specific cell-cell interactions, governed by pathways incl. chemokines, annexins and TAM (TYRO3, AXL, MERTK) receptors
  • LYVE1+ macrophages showed a regulatory, anti-inflammatory phenotype in vitro, contrasting with proinflammatory myeloid cells

Original publication

Spatial mapping of rheumatoid arthritis synovial niches reveals a LYVE1+ macrophage network associated with response to therapy. Ann Rheum Dis. Published 22 August 2025. doi:10.1016/j.ard.2025.07.019

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